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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

Illingworth 1959.

Methods Randomised, double‐blind, cross‐over trial
Participants Sample size: 20 infants, but 4 infants did not have the inert substance, and 1 did not have the active drug
Setting: well‐baby clinic at Jessop Hospital, Sheffield
Mean age: not reported (SD not reported); range not reported. Simply states that all infants were younger than 8 weeks
Mean weight: not reported
Mean duration of colic: not reported
Mean crying: not reported
Feeding: not reported
Birth order: not reported
Inclusion criteria:
  • Condition for inclusion into the study was the mother's statement that screaming continued unabated when the baby was picked up.

  • Diagnosis was based on rhythmical attacks of screaming in the evening.


Exclusion criteria: not specified
Interventions Intervention (20 infants): dicyclomine hydrochloride, half teaspoon (approximately 5 mg) before the 6 PM feed
Control (16 infants): placebo, half teaspoon (approximately 5 mg) before the 6 PM feed
Administration: The doctor prescribed dicyclomine hydrochloride, and the pharmacist dispensed dicyclomine or inert substance by random sampling. After 1 week, the medicine was prescribed again, and the pharmacist gave the opposite of what she had given before. Only the pharmacist knew which material (drug or placebo) the child had received.
Duration of the study: 2 weeks
Washout period: no information
Outcomes The child was seen 1 week after the start of treatment, and the mother's word about colic was reported. Results were graded from '‐ 3' to '+ 3' as follows: '+ 1' child slightly better, '+ 2' definitively better but still with some discomfort, '+ 3' infant with very great improvement and free from symptoms, '‐ 1' infant slightly worse
Notes Country: England
Funding source: Study authors did not specify whether they had received financial support for the study; drug and placebo were supplied by the company, Merrell National (UK).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: No information about random sequence generation was reported.
Allocation concealment (selection bias) Low risk Comment: Pharmacist dispensed dicyclomine or an inert substance by random sampling.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Comment: Parental blinding was performed. Only the pharmacist knew which material the child had received.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Comment: Parental and paediatrician blinding was performed. Only the pharmacist knew which material the child had received.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Comment: Four infants did not have the inherited substance, and 1 did not have the active drug.
Selective reporting (reporting bias) High risk Comment: Study authors did not report the results of each study period by treatment group (dicyclomine or placebo).
Other bias Unclear risk Comment: No information about washout period was reported.